| Doctor Name: | LINDA SUSAN HAEN |
| NPI Number: | 1013086271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNPC |
| License Number: | 2066033 |
| Business Practice Address: | 2641 Development Drive Green Bay, WI - 54311 |
| Business Phone Number: | 9203386868 |
| Business Fax Number: | 9203386869 |
| Mailing Address: | 2641 Development Drive, GREEN BAY |
| State: | WI |
| Postal Code: | 54311 |
| Phone Number: | 9203386868 |
| Fax Number: | 9203386869 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 08/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 2066033 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |